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Home My WebLink About18576-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219157 Date NNE 19, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1125 LEETON DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 BLock O1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 16, 1989 pursuant to which Building Permit No. 185762 dated OCT. 19, 1989 was issued, and conforms to all of the requirements o£ the applicable provisions of the law. The occupancy for which this certificate i,s issued is IIECK ADDITZON TO EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLIAM CONI5 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DRTED NJA Building Inspector Rev. 1/81 a - - - ~oaatt xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CgqQMPLETION OF THE WORK AUTHORIZED) N O .L g J 7~ Z Date (?"Gl Z....~.I 19..1.. Permission ~s hereby grouted toJ , ~rd.~ t~~-r7..~'.~r.,.~~ Y to.G~~ .d'..e2~......'.C~....~/~.~aC.c.........~~~rfi~GG~L??:?2......~f!~7,~....,(~...'~.....G~~Q.!~ ~ at premises located at ...,/..~.~~...1~.:Bz?....~../t..' ..........................................................................dd.......................................................................... . County Tax Map No. 1000 Section ........`,=~.1....... Block Lot No...... . pursuant to application dated !!~~.[l.... 19~.., and approved by the Building inspector. Fee ~..~n.~jG~O.... leL Bui ng Inspector Rev. 6/30/80 ° Form No. b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1• Final survey of property with accurate locataon of alI buildings, property lines, streets, and unusual natural or topographic features. ' 2• Final Approval from Health Dept, of water supply and sewerage-disposal (S-9 fona). 3• Approval of electrical installation from Board of Fire Underwriters. 4• Sworn statement from plumber certifying that the solder used in system contains ! less than 2/10 of lZ lead. 5. Commercial building, industrial building, multiple residences and similar building and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B• For existing buildings (prior to April 9 1957 "pre-existing" land uses: ) non-conforming aces, or buildings and n 1 Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. • 2• .~-pt~operly completed a ~ V'~ I C.~~~If a Certificate of Occupancyiis denied,othenBuildingplnspectordshallhstatelthent. s therefor in writing to the applicant. C• Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, CommerciaCJl $15.00 • New Construction....... Date ..,1~, U.N.~,IS~. ~'7 Old Or Pre-exi ting Buildin ~ Location of Pro „~1Z.~. .•..•~e-~oN gf~"•'• House No.-•~•~~ , ` Street a Onwer or Ow Hers of Property..,,,,-l.4~. ~ ~JL/. S County Tax Map No 1000, Section....o.~ ...Block............ .Lot. ~ 3 Subdivision...... " p ..........................Fil ~ Map O~ /.Y ............L Permit No..... .....Date Of ~ J ~ Permit ' \ yy Applicant..... ~ ~ N Health Dept. Approval...... C~~tIC~ •••••••--...Underwriters Approval. 'l 71 Planning Board Approval....~,y~~(;•......• • ~i Request for: Temporary Certificate........... Final Certicate.~ Fee Submitted: ~ ~ • • • ~ 3y~~! b~~ 456 ; CX!u` G'o z Iy/S . 7 APPLIC T. N a ^+1 (I =OUtIDATIOtI (1~t~ 'OUTJDP,TIOtJ (2nd) 1~ ?OUGH FRAME ~ i PLUMBIiJG 3. aJSULATIOti PER N, Y. , STATE EPI£RGY CODE 4 1 i= q0 ` 4 . FI;tAL / , CG' c ADD_TTIOPIAL COtrMEtITS: ~ 9 F C i _ R 7 _ r - / C lT1 H 765-1802 BUILDING DEPT. 1 NSPECTION [ )FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [)FRAMING [ ~NAL REMARKS: G D ~ DATE ~/=INSPECTOR Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 foxm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains p less than 2/10 of lZ lead. 5. Commercial building, industrial building, multiple residences and similar building_ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' L~ 2. ,~--pr}operly completed application and a consent to inspect signed by the applicant. ,~t"If a Certificate of Occupancy is denied, the Building Inspector shall state the ~ U'\"" ns therefor in writing to the applicant. ;'VA'C/.. Fe~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - §50.00 S. Temporary Certificate of Occupancy - Residential $15.00, /Commercial $15.00 Date ..~~.N~.J.~(..~~0 New Construction.........II.^^7~. Old Or Pre-exi~pting Building.. Location of Property...~lY..~............Y'~-.~~.....A"~ ......~Y.v i~,d House No{.~ } I ( St(r'eet Hamlet Onwer or Owners of Property....~~1. S `:1QQ.'~ ......1-.~ t ~ County Tax Map No 1000, Section... ~.~.l....Block.....1.. ..Lot.......t 3 Subdivision.~~.yy.....rr//.,,.~, ............................Filenvd/ M9p............Lot......~.,rA-........... Permit No. ~.Q~ ~.Y......Date Of Permit~~..~~f l~[Applicant... ` \ 1 . Health Dept. Approval......~~..((lN~~ ........Underwriters Approval. ..1.~.~ A ~ . ' Planning Board Approval.. Request for: Temporary Certificate........... Final Certicate.~....... ~.S.vO Fee Submitted: ~ sy~~r . .......C~ 6~iV~Sb ~ APPLICANT . Lfd Zl~f/~7 ' r~ n N -i ja AWN r T V 2T Q ~ ~ ~ ~ ~ 'pM~ cii'pDmFmTZ:OTT~v~~?r iT'i ~ lp~~ ~ ZycsmaOrp-CCC)~zc~~~ \ wT~ ~ ~ ~ ~~xcai~ ~s~°n~wc~ o ~ ~ ~ k? O g~~nz~mBiD~ ~Q ~ ~ N~ m~Tz an~m~n ~ ~.K ~ K ~ y~ O ~ i.~ w ~ ~ ~ ~ ~ 'Pl~ s •o y 4 o~q} ~ ~ s~ `1.. "~x„~7 ~Ya~~'a ~eme+ 4 t :ae~ ~ ~ .~-a> gyp,, C"° i ~ C°'~' 9 ~ ~ s ~ TEL. 765-1802 5~F F Di1fC 0~0 OG TOWN OI' SOUTIIOLD ~ ~ OFFICE OF BUILDING INSPECTOR .~4,}JF`~~ P.O. BOX 728 (P `Y y ~6fiT R~ ~ .,%y~~l SOUT OLD, N~Y 11971 J une 12, 1990 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of- the following reasons. /BA! An application for Certificate of Occupancy is not on file. ENCLOSED % / No Underwriters Certificate on file. It%/ The check is not on file. ) 825.00 J_J No IIealth Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit $ 1 8 5 7 6 2 DECK ADDITION FTILLIAM CONIS Building Dept. ***J / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) i - - M tTfLG;--At3 t S D (F .Y MOLL01'~ ;2E5lJE~.'Ei j I I ~ c - `YZ W ~ C, , N • F,Nt ~ ~ o ~U v r. ,11 ~ ~CN1rJ fT~ 1 ~ O J > Y .'1 ~ 1~~ L S / -1 i\ ~ n I \ l~ ^1 n. ~ D ~ ~ h• - 1 r. ; m r ~i m u ~i~`afy I rn pp T m ~ ~ O ~['i N~ C j ~ w I r~ 7 c~ c i ~'~ct'~ m ~ fi I ' r ~n l - I ~ _ C ~ ~ \ r a F , r to ~ ~ r p ~ '1'~~ t9 R. N ' ~ ~ ~ m V ~ r r 1111 i=y 7 F~ 1 N ~4~ N W ~ - n \ 3 ern - I ~ _ ~ ` in r C'~ 2 N 1 1 r ~ ~ r v ~ _ ~ 7 I ' ! ?jc % cif ~ >a'd` ~ 2t1~- rl S.Qt~ 24 3~ uE. X0.00 0 ~ ~ a rn I N :sALL.*~3RE I rn ~ (2E~':JEt-iCe~ Z ~G~ ~ to ~ !ll~~~~~~, u' ,p ~ ~ O z, Z \ v f0 ~ T ~ ,l I D I D \ 'n m°~ m O Ill ~ I l ~ ~T lO m \ ~~s' C r' ~'1 Y~.I 7- .+~J ,fir' : ~ m ~ : ~ ' I Z 'li w c H -'Z C ~ ~ Z l ~ ~ C N . ~ i01 KA • . x ~ ~a - lK r' I, \ 1 O ~ ~ ~ m f ~xon~nN ~ n~n-a m m z ~ ~ c ~ w~ Z~~ m i~ m y v ~ N 1~ O m m A< O O O~ 3 D- D %r O D ~ m C n 7rC D 7C 3 N m r O ~ v Z ~ m ~ --3'--- - IC ` m ~ m O ~ z CO n O O OA c ~ - SE,'°c73~R~ '3`}~ 'V ,L` IC1 ~ X r ~ 1 "1 1~1 x { Z nB3~a35 gf ;q. '~2LL D _~,l D f, ~ z O a ~ 3o~iT3ie~`~~~3 i±~ D fa - R7c n A n 1 ~ D D,n BOARD OF HEALTH 3 SETS OF PLANS •!s . FORM NO.1 SURVEY TOWN OF SOUTHOLD CHECK • • • . BUILDING DEPARTMENT SEPTIC FORPf • TOWN HALL . SOUTHOLD, N Y. 11971 NOT^Y 1 ~ . TEL. 765.1802 CALfa G ~j MAIL T0: Exammed~~~1~.5......., 1~! 6 APProved 19~ Permit No /I S-~6 0 acrr ~ ~ ~ DisapprovedaJc ter' Y ~c%f~~2"I . udd g Inspector) APPLICATION FOR BUILDING PERMIT aa Date ..(l ~r . I9~ INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Irispectot, wit sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buflduigs on premises, relationship to adjoining premises or public str._ or areas, and gluing a detazled description of layout of property must be draFVn on the diagram which is part of t}us ap ^catron. c. The work covered by this application may not be commenced before issuance of Buildm; Permit d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such per shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY h1ADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authonzed inspectors on premises and in building for necessary inspection ' .........~.~..C~......... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) r~~3~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or build ...........nWN~~ l ~ ~ A Name of owner of premises V.`: ~ !V rn' .W. i.`I ~ 'r (as on the tae roll or latest deed) If applicant is a corporation, signature of duly authonzed officer . . (Name and title of corporate officer) ALL CONTRACTOR'S MU T UFFOLK COUNTY LICENSED Builder's License No. ..~btiJ~~~L~ . , . Plumber's License No . Electrician's License No . . Otlicr Trade's License No . . I. Location of land on which proposed work will be done . ..................r.. G.~~~rTOI`:. ~l~i,f77d~t~7 h....... House Number ('Street Hamlet County Tax htap No 1000 Secrion ~ Y. ~ .Block Loi ~ ~ , , , , , , , , , , , ; Subdivision . Filed i•4ap No Lot . (Name) State exntmg use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy . b. Intended use and occupancy ......D~~CIC... ~(T` ~'L!~~~C16N...• 3. Nature of work (check which applicable): New Building - • Addition ..:f • . • - • Alteration , , , Repair -Removal Demolition Other 14ork , , , , , , m / 1 ifs (Descn Lion P 4. Estimated Cost I, , .L Fee s~. ` (to be pasd on filing this applicaUOn) 5. If dwelling, number of dwelling units . . Number of dwelling units on each floor . If garage, number of cars 6. If busines's,`comr`itsrc{31' d occupancy, specify nature and extent of each type of use . 7, Dimensions.at exi~jtyfi'~ t s, if any Front Rear . , Depth . Height fiber of Stones Dtmcnsio' ~i~e'ctu ith alterations or additions Front .Rear . Dept)"i~ ..Height Nu e{ of Stones 8. Duneil'sttrits~f~nt~ije~~i ons coon. Front Rear Depth r~. , , , , , , , Height G~btsT~rC?.~~. ~ . Nu fiber of Stones ........j ~ . . . 9. Size of lot Front . . Rear . Depth . ]0. Date of Purchase .Name of Fotmer Owner . I I . Zone or use distncY m which premises are sauated . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation . 13. 1Vil1 lot be regraded . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . ..........Address PSione No............... . Name of Architect .....................Address ..............Phone No............... . Iv'ame of Contractor ........Address ...................Phone No............... . 15. Is this property located within 300 feetyyof a tiidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOTDIAGItAMed. Locate clearly and distinctly all bui2dmgs, whether existing or proposed, and indicate all set-back dunensions from property fines Grve street and block number or descnption according to deed, and show street names and indicate whether :ntenor or corner lot. -ld- j~$L •-2~ I pkoFOSC'ti Ih;tk 11 . t .>c 1 / GALLtm~R(,r ~ ~ ~ Drxrsn~G p(21L mrrrcoFkl~r,(' a LL Cr-ro N DR) v t~ STATE OF 1L-~ti'~Y_O~2IV~n ~ S.S 'OL;\TY OF C. ...f'{~r. l~~ ,R "Y! • • • CO's' ~`f bang duly sworn, deposes and says that he is the applicant (lame of mdicidual signing contract) povc named, n f/'` ~ fe is the 1 ~ ~.rS.~ 1~Q~ ~ . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authonzed to pcrfonn or have performed the said work and to make and file t}us uplicauon; that alt statements contained m this apphcallon are true to the best of his knowledge and belief, and that the ork wdl be performed m the manner set forth in the apphcahon filed therewith. worn to before me this ~.~,1/_I~, ~ y~j ....................day of '1D~/:!.`4v,J.~1L........., 19 .U 1 ota hc, , l~1}~.(S-........... County ~ ' 1 f~fl ~ 1 ~ ~ E.~~¢z'S x{31 (Sisnature of applicant) C~~.nc~4.~ ~N N4~3St~0 Cuuti ~ .